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Conference Paper: Comparison of outcomes following resection of right-sided and left-sided colon cancer

TitleComparison of outcomes following resection of right-sided and left-sided colon cancer
Authors
KeywordsMedical sciences
Surgery
Issue Date2009
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/
Citation
The 43rd World Congress of the International Society of Surgery: International Surgical Week (ISW 2009), Adelaide, Australia, 6-10 September 2009. In World Journal of Surgery, 2009, v. 33 n. 1 suppl., p. S36-S37, abstract no. 0092 How to Cite?
AbstractINTRODUCTION: It is unclear whether the location of colon cancer determines the prognosis of the patients. ln this study, the characteristics and survival of patients with right-sided and left-sided colon cancers were compared. MATERIAL AND METHODS: This is a retrospective review from a prospectively collected database comparing the characteristics and survival of patients with right-sided and left-sided cancer. Lesions proximal to the splenic flexure were considered as right-sided cancer and those at or distal to the splenic flexure were considered left-sided cancer. Patients with rectal cancers and those without bowel resections were excluded. Patients with synchronous cancers involving both sides were also excluded. The operative details, postoperative outcomes, pathology characteristics and follow up status were collected prospectively. RESULTS: From 1996 to 2007, after excluding 20 patients with synchronous cancers involving sides of the colon, 1647 patients (893 men) with the median age of 72 (range: 22-96) years old underwent resection for colon cancer. Four hundred and thirty patients (26.1%) were operated as emergency. The 30-day mortality was 3.8% and the postoperative morbidity was 24.8%. The patients with right-sided cancer were older (mean age 71.2 vs. 68.4 years old, p=0.033) and more of them had comorbid medical conditions (59.2% vs. 53.6%, p=0.029). There was no difference in the gender, urgency of operation, stage of the diseases, operative mortality and morbidity between the two groups. However, the survival of patients with right-sided cancer is significantly worse that that of patients with left-sided cancer (47.6% vs. 52.3%, p=0.01). CONCLUSIONS: From the study, the survival of patients with right-sided colon cancer is worse than that of patients with left-sided cancer. Fur ther investigations to define the causes for the difference is warranted
DescriptionPoster Discussion - Session 24.08
Specific Field: Colon and Rectum
This journal suppl. entitled: International Surgical Week ISW 2009: abstract book of ISW 2009
Persistent Identifierhttp://hdl.handle.net/10722/107287
ISSN
2015 Impact Factor: 2.523
2015 SCImago Journal Rankings: 1.375

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorLo, OSHen_HK
dc.contributor.authorWei, Ren_HK
dc.contributor.authorChoi, HKen_HK
dc.date.accessioned2010-09-25T23:51:24Z-
dc.date.available2010-09-25T23:51:24Z-
dc.date.issued2009en_HK
dc.identifier.citationThe 43rd World Congress of the International Society of Surgery: International Surgical Week (ISW 2009), Adelaide, Australia, 6-10 September 2009. In World Journal of Surgery, 2009, v. 33 n. 1 suppl., p. S36-S37, abstract no. 0092-
dc.identifier.issn0364-2313-
dc.identifier.urihttp://hdl.handle.net/10722/107287-
dc.descriptionPoster Discussion - Session 24.08-
dc.descriptionSpecific Field: Colon and Rectum-
dc.descriptionThis journal suppl. entitled: International Surgical Week ISW 2009: abstract book of ISW 2009-
dc.description.abstractINTRODUCTION: It is unclear whether the location of colon cancer determines the prognosis of the patients. ln this study, the characteristics and survival of patients with right-sided and left-sided colon cancers were compared. MATERIAL AND METHODS: This is a retrospective review from a prospectively collected database comparing the characteristics and survival of patients with right-sided and left-sided cancer. Lesions proximal to the splenic flexure were considered as right-sided cancer and those at or distal to the splenic flexure were considered left-sided cancer. Patients with rectal cancers and those without bowel resections were excluded. Patients with synchronous cancers involving both sides were also excluded. The operative details, postoperative outcomes, pathology characteristics and follow up status were collected prospectively. RESULTS: From 1996 to 2007, after excluding 20 patients with synchronous cancers involving sides of the colon, 1647 patients (893 men) with the median age of 72 (range: 22-96) years old underwent resection for colon cancer. Four hundred and thirty patients (26.1%) were operated as emergency. The 30-day mortality was 3.8% and the postoperative morbidity was 24.8%. The patients with right-sided cancer were older (mean age 71.2 vs. 68.4 years old, p=0.033) and more of them had comorbid medical conditions (59.2% vs. 53.6%, p=0.029). There was no difference in the gender, urgency of operation, stage of the diseases, operative mortality and morbidity between the two groups. However, the survival of patients with right-sided cancer is significantly worse that that of patients with left-sided cancer (47.6% vs. 52.3%, p=0.01). CONCLUSIONS: From the study, the survival of patients with right-sided colon cancer is worse than that of patients with left-sided cancer. Fur ther investigations to define the causes for the difference is warranted-
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer.de/link/service/journals/00268/-
dc.relation.ispartofWorld Journal of Surgeryen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectMedical sciences-
dc.subjectSurgery-
dc.titleComparison of outcomes following resection of right-sided and left-sided colon canceren_HK
dc.typeConference_Paperen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.emailPoon, JTC: tcjensen@hku.hken_HK
dc.identifier.emailFan, JKM: drjoefan@hku.hken_HK
dc.identifier.emailLo, OSH: oswens@hku.hk-
dc.identifier.emailChoi, HK: hkchoi@hkucc.hku.hk-
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.identifier.doi10.1007/s00268-009-0165-5-
dc.identifier.hkuros169253en_HK
dc.identifier.volume33-
dc.identifier.issue1 suppl.-
dc.identifier.spageS36, abstract no. 0092-
dc.identifier.epageS37-
dc.publisher.placeUnited States-

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